Charlene Kelley Sparrow, PMHNP-BC in Cordova, TN

Charlene Kelley Sparrow, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cordova, Tennessee. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pure Light Psychiatry Llc and her current practice location is 65 Germantown Ct Ste 207, Cordova, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 878-3332.

Charlene Kelley Sparrow is licensed to practice in Mississippi (license number 810627) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568868099.

Contact Information

	Charlene Kelley Sparrow, PMHNP-BC
	65 Germantown Ct Ste 207, Cordova, TN 38018-4258
	(901) 878-3332
	(901) 350-7790

Map and Direction

Provider's Profile

Full Name	Charlene Kelley Sparrow
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	65 Germantown Ct Ste 207, Cordova, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlene Kelley Sparrow graduated from nursing school in 2013

NPI Data:

NPI Number: 1568868099
Provider Enumeration Date: 11/11/2014
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 0042538241
Enrollment ID: I20210406000127

Medical Identifiers

Medical identifiers for Charlene Kelley Sparrow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568868099	NPI	-	NPPES
04328749	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A810627 (Mississippi)	Secondary
363LF0000X	Nurse Practitioner - Family	18326 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	9411328 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	810627 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pure Light Psychiatry Llc	4789019365	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charlene Kelley Sparrow allows following entities to bill medicare on her behalf.

Entity Name	Pure Light Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932742988 PECOS PAC ID: 4789019365 Enrollment ID: O20200109001262

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlene Kelley Sparrow is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charlene Kelley Sparrow, PMHNP-BC 459 Vescovo Dr, Memphis, TN 38117-1800 Ph: (901) 216-7146	Charlene Kelley Sparrow, PMHNP-BC 65 Germantown Ct Ste 207, Cordova, TN 38018-4258 Ph: (901) 878-3332

Reviews and Comments

Nurse Practitioner Nurses in Cordova, TN

Chandler Roberts Cummins, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57 Germantown Ct Ste 100, Cordova, TN 38018 Phone: 901-763-0200
Paula M Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1590 Bonnie Ln Ste 101, Cordova, TN 38016 Phone: 901-257-9060
Renee Wilson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8000 Centerview Pkwy, Cordova, TN 38018 Phone: 888-852-1988
Ellen Lehman Mumaw, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1660 Bonnie Ln, Suite 105, Cordova, TN 38016 Phone: 901-888-1000
Mr. Corey Konemann, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 765 Woodland Trace Ln, Cordova, TN 38018 Phone: 888-851-2538
Dr. Camillia Haddix, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 Germantown Ct Ste 402, Cordova, TN 38018 Phone: 901-752-4900 Fax: 901-752-4902
Sheneara Guide-wade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 676 N Germantown Pkwy, Cordova, TN 38018 Phone: 901-969-1405

Charlene Kelley Sparrow, PMHNP-BC - Medicare Nurse Practitioner in Cordova, TN